Electro Group - Enrollment Form

Personal Details

Other Details

Were you born in Australia?	Yes No
If No, please specify which country:
Are you of Aboriginal or Torres Strait Islander Origin?	Yes No
If yes, please specify:	Yes, Aboriginal Yes, Torres Strait Islander Yes, both Aboriginal and Torres Strait Islander
Which language do you mainly speak at home?
How well do you speak English?

What is your highest completed school level?

8 or below

What year did you complete that school level?

Have you achieved any tertiary qualifications?

Certificate I

Certificate II

Certificate III

Certificate IV

Diploma

Advanced Diploma

Bachelor Degree or Higher

Do you consider yourself to have a permanent and significant disability?

Yes No

If yes please tick any appropriate boxes

Hearing/Deaf

Learning

Intellectual

Medical Condition

Acquired Brain Impairment

Mental Condition

Vision

Physical

Other (please specify):

Please Pick A Course

Telecommunications
Renewable Energy
Industrial Electronics
Electrical
Business/Personnel Development

Payment Details